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Contact Information

ATLANTIC GENERAL HOSPITAL CORPORATION
9733 HEALTHWAY DR
BERLIN, MD21811-1155
 Phone: 410-641-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ATLANTIC GENERAL HOSPITAL CORPORATION

NPI # 1073331765
LBN Legal business name ATLANTIC GENERAL HOSPITAL CORPORATION
Authorized official STEPHANIE GARY - (SVP, FINANCE/CFO OF TIDALHEALTH)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/01/2024
Last updated 05/30/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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